The results of dedication program in “Weru” Local Clinic: 1) the employee understood more about the “UKRM” management, 2) there were many problems regarding to the duplication of medical record number and the lack of quality and completeness, 3) the implementation of this activity got positive response from the head of local clinic and the participants (employee of UKRM). The implementer team monitored and evaluated the training given. The participants’ ability was measured by Pre-Test dan Post-Test. The materials were theoretical and practical. The interactive method was held in this service. Staf yang berperan untuk menjalankan fungsi ini bertugas untuk. Menurut Depkes (2006), rekam medis yang lengkap adalah dokumen rekam medis yang telah diisi lengkap oleh dokter dalam waktu < 24 jam setelah selesai pelayanan/setelah pasien rawat inap diputuskan untuk pulang meliputi identitas pasien, anamnesis, rencana asuhan, pelaksanaan asuhan, tindak lanjut dan resume (Depkes, 2006). The service was held into two stages: 1) portraying the partners’ characteristic, problems and needs of medical record workers in the local clinic, 2) giving intervention in the form of medical records management in the local clinic based on the applicable rule and standard. Proses assembling memiliki fungsi yang sangat penting di dalam pelayanan dan pengelolaan rekam medis, yakni: Penyusun formulir rekam medis, Peneliti isi data rekam medis, Pengendali dokumen rekam medis yang tidak lengkap, Pengendali penggunaan nomor dan formulir rekam medis. The development of medical records worker’s knowledge and competency in the local clinic was accompanied by the improvement of medical record’s management in the local clinic.Dealing with the dedication for society, the implementer team used analysis study and gave the medical record workers intervention service in the local clinic. Item Type:Įlectronic Medical Record, Regulation, Medical Malpractice.The aims of this research were to: 1) improve the quality of medical records and health workers related to health service facilities in order to be able to collect the data communicatively, 2) do the data collection correctly, 3) do the qualitative and quantitative analysis, 3) improve the management of medical record’s work unit based on the applicable standard to produce information in gaining accurate medical information. Operasional Prosedur seperti pengendalian nomor rekam medis dan formulir, petugas hanya. For this reason, a normative legal research with a comparative approach was conducted to compare the legislation in other countries as a recommendation for the establishment of electronic medical record regulation in Indonesia in accordance with the rules for establishing legislation, so that they can be used as valid evidences in medical malpractice courts. Kelengkapan Dokumen Rekam Medis Di Rumah Sakit Islam Kendal. In practice, electronic medical record can be categorized as valid evidence in a medical malpractice case court is only based on the judge's conviction. Various lawsuits against health services or known as malpractice involve evidence in the form of medical records which are opened by court order. Legislation in the form of a regulation of the minister of health only regulates medical records in general and there is no standardization and legislation regarding electronic medical record. Currently, there is no specific legal regulation that regulates the implementation of electronic medical record in Indonesia. The Polindes Desa Gombang is a form of community participation in providing delivery assistance and community health services, including family planning. In the case of medical malpractice in Indonesia, medical records play an important role in the evidence in court. Soedarsono Kota Pasuruan masih belum dilakukan karena belum adanya aplikasi pendukung untuk mengalihmediakan formulir rekam medis yang tidak boleh. Various health facilities such as hospitals in big cities in Indonesia already use electronic medical records. Pemusnahan dokumen rekam medis di RSUD dr. Inthiscase the role of hospital management as a form of efforts to. Medical records are a form of administrative service provided by health facilities to patients that must be carried out by health workers who provide services. Analisis Pelaksanaan Quality Improvement di Unit Rekam Medis Rawat Inap Rumah Sakit.
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